Organization Active NPI

Tribeca Broadway Dental Care

  • Point of Service
  • New York, NY
National Provider Identifier
1346661154
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
050825 Issued in NY
Legal business name
TRIBECA BROADWAY DENTAL CARE
Practice address
291 Broadway
Suite 1105
New York, NY 10007-1814
Phone
(212) 619-0971
NPI assigned
Dec 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cary Jonh Cunningham
Title
General Dentistry
Phone
(212) 619-0971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 050825 NY Primary

Addresses

Primary practice location

291 Broadway
Suite 1105
New York, NY 10007-1814

Mailing address

291 Broadway
Suite 1105
New York, NY 10007-1814
Phone (212) 619-0971

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1346661154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 BROADWAY",
            "address_2": "SUITE 1105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071814",
            "telephone_number": "212-619-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROADWAY",
            "address_2": "SUITE 1105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071814",
            "telephone_number": "212-619-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBECA BROADWAY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "JONH",
        "authorized_official_title_or_position": "GENERAL DENTISTRY",
        "authorized_official_telephone_number": "212-619-0971",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "050825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.